Active NPI
Leah Gubbels
- Physical Medicine & Rehabilitation Physician
- Wausa, NE
National Provider Identifier
1184903858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 872
- Practice address
- 703 South Vivian St
Wausa, NE 68786 - Phone
- (402) 586-2359
- Fax
- (402) 586-2352
- NPI assigned
- Aug 11, 2011
- Last updated
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 872 | NE | Primary |
Addresses
Primary practice location
703 South Vivian St
Wausa, NE 68786
Mailing address
703 South Vivian St
Wausa, NE 68786
Phone (402) 586-2359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1184903858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 SOUTH VIVIAN ST",
"city": "WAUSA",
"state": "NE",
"postal_code": "68786",
"telephone_number": "402-586-2359",
"fax_number": "402-586-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 SOUTH VIVIAN ST",
"city": "WAUSA",
"state": "NE",
"postal_code": "68786",
"telephone_number": "402-586-2359",
"fax_number": "402-586-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBBELS",
"first_name": "LEAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NE",
"license": "872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausa, NE
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- Family First Dental Associates of Wausa, P.C. (Family 1st Dental of Wausa)
- Carolyn Hall, OTD, OTR/L
- Ruby Michelle Hoskinson
- Kimberly M Kienow
- Julie A Lauck, REGISTERED NURSE
- Louderback Drug of Madison, Inc. (Creutz Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.